The Effect of Altered Hand Position and Motor Skills on Stereognosis

Carlson, Michelle G.; Brooks, Catherine

doi:10.1016/j.jhsa.2009.01.029

Cited by 18 publications

(12 citation statements)

References 19 publications

(28 reference statements)

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“…Carlson et al showed that normal subjects had decreased stereognosis when placed in a simulated hemiplegic hand position compared with a normal hand position, highlighting the importance of hand mobility. 9 Dahlin et al showed improvement in stereognosis 6 and 18 months after reconstructive hand surgery in patients with spastic hemiplegic cerebral palsy. 10 In a published correspondence regarding their study, Dahlin et al suggest that this improvement in stereognosis could be explained both by improved exposure of the objects to palm and finger pulps after the surgical reconstruction and by cerebral plasticity.…”

Section: Discussionmentioning

confidence: 98%

Correlation of Motor Function and Stereognosis Impairment in Upper Limb Cerebral Palsy

Kinnucan¹,

Heest²,

Tomhave³

2010

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 98%

Correlation of Motor Function and Stereognosis Impairment in Upper Limb Cerebral Palsy

Kinnucan¹,

Heest²,

Tomhave³

2010

The Journal of Hand Surgery

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“…Thus, failure to identify some objects by touch might result from manipulative deficits, rather than from real sensory impairments (3). Carlson and Brooks (44) showed that healthy individuals presented reduced S when placed in a simulated hemiplegic hand position compared to a normal hand position. Other studies have confirmed the importance of hand mobility in object recognition, through the moderate associations between S and dexterity (45–49).…”

Section: Discussionmentioning

confidence: 99%

Hand Functioning in Children with Cerebral Palsy

2014

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Brain lesions may disturb hand functioning in children with cerebral palsy (CP), making it difficult or even impossible for them to perform several manual activities. Most conventional treatments for hand dysfunction in CP assume that reducing the hand dysfunctions will improve the capacity to manage activities (i.e., manual ability, MA). The aim of this study was to investigate the directional relationships (direct and indirect pathways) through which hand skills influence MA in children with CP. A total of 136 children with CP (mean age: 10 years; range: 6–16 years; 35 quadriplegics, 24 diplegics, 77 hemiplegics) were assessed. Six hand skills were measured on both hands: touch-pressure detection (Semmes–Weinstein esthesiometer), stereognosis (Manual Form Perception Test), proprioception (passive mobilization of the metacarpophalangeal joints), grip strength (GS) (Jamar dynamometer), gross manual dexterity (GMD) (Box and Block Test), and fine finger dexterity (Purdue Pegboard Test). MA was measured with the ABILHAND-Kids questionnaire. Correlation coefficients were used to determine the linear associations between observed variables. A path analysis of structural equation modeling was applied to test different models of causal relationships among the observed variables. Purely sensory impairments did seem not to play a significant role in the capacity to perform manual activities. According to path analysis, GMD in both hands and stereognosis in the dominant hand were directly related to MA, whereas GS was indirectly related to MA through its relationship with GMD. However, one-third of the variance in MA measures could not be explained by hand skills. It can be concluded that MA is not simply the integration of hand skills in daily activities and should be treated per se, supporting activity-based interventions.

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“…In order to avoid confusion, evaluation of graphaesthesia and MFP was limited to studies using the SIPT, rather than the earlier test version known as the Southern California Sensory Integration Test (SCSIT) (Ayres, 1972). Nineteen tests were excluded because of inconsistency in methodology and a lack of clinimetric data, including 11 tests of stereognosis (Bolanos, Bleck, Firestone, & Young, 1989;Carlson & Brooks, 2009;Goldner & Ferlic, 1966;Guzzetta et al, 2007;Hohman, Baker, & Reed, 1958;Krumlinde-Sundholm & Eliasson, 2002;Tachdjian & Minear, 1958;Van Heest et al, 1993;Wilson & Wilson, 1967;Wilton, 2003;Yekutiel, Jariwala, & Stretch, 1994), four tests of texture discrimination (Bleyenheuft, Wilmotte, & Thonnard, 2010;Hohman et al, 1958;Sanger & Kukke, 2007;Wingert, Burford, Sinclair, Brunstrom, & Damiano, 2008), two of graphaesthesia (Guzzetta et al, 2007;Russo, Miller, Haan, Cameron, & Crotty, 2008), and four of localization or DS (Hohman et al, 1958;Smith, Walker, & Myers, 1988;Weidenbacker, 1962). The Tactile Behavior Observation Scale (Clayton, 2004) was excluded, as it examines behavioral responses to tactile stimuli and not registration or perception directly.…”

Section: Resultsmentioning

confidence: 99%

Tactile Assessment in Children with Cerebral Palsy: A Clinimetric Review

Auld¹,

Boyd²,

Moseley³

et al. 2011

Physical & Occupational Therapy In Pediatrics

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This review evaluates the clinimetric properties of tactile assessments for children with cerebral palsy. Assessment of registration was reported using Semmes Weinstein Monofilaments (SWMs) or exteroception. Assessment of two-point discrimination was reported using the Disk-Criminator R or paperclip methods; Single point localization and double simultaneous were reported from the Neurosensory Motor Developmental Assessment (NSMDA); graphaesthesia was reported from the Sensory Integration and Praxis Test (SIPT); and stereognosis was assessed using Manual Form Perception from the SIPT and the Klingels method (Klingels, K. et al. (2010). Upper limb motor and sensory impairments in children with hemiplegic cerebral palsy. Can they be measured reliably? Disability and Rehabilitation, 32(5), 409-416) and the Cooper method (Cooper, J., Majnemer, A., Rosenblatt, B., & Birnbaum, R. (1995). The determination of sensory deficits in children with hemiplegic cerebral palsy. Journal of Child Neurology, 10,[300][301][302][303][304][305][306][307][308][309]. The SIPT and NSMDA demonstrated stronger content validity. Inter-rater reliability was excellent for SIPT (ICC = 0.99) and exteroception (k = 0.88). Test-retest reliability was excellent for exteroception (k = 0.89) and stereognosis (ICC = 0.86; 100%), moderate for SIPT (r = 0.69-0.74) and poor for SWM (k = 0.22). Together these assessments measure tactile registration and spatial perception. Temporal and textural tests are to be developed for comprehensive tactile examination.

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The Effect of Altered Hand Position and Motor Skills on Stereognosis

Cited by 18 publications

References 19 publications

Correlation of Motor Function and Stereognosis Impairment in Upper Limb Cerebral Palsy

Correlation of Motor Function and Stereognosis Impairment in Upper Limb Cerebral Palsy

Hand Functioning in Children with Cerebral Palsy

Tactile Assessment in Children with Cerebral Palsy: A Clinimetric Review

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